Provider Demographics
NPI:1235326430
Name:SWEET, LAURENE ANN (PT, DPT, MED)
Entity Type:Individual
Prefix:DR
First Name:LAURENE
Middle Name:ANN
Last Name:SWEET
Suffix:
Gender:F
Credentials:PT, DPT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 E 280TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-1306
Mailing Address - Country:US
Mailing Address - Phone:216-571-6234
Mailing Address - Fax:
Practice Address - Street 1:36495 VINE ST STE L
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-6347
Practice Address - Country:US
Practice Address - Phone:440-525-2792
Practice Address - Fax:866-560-2975
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-06498225100000X
OHPT-64982251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist